An experience of trans-abdominal repair of vesico-vaginal and uretero-vaginal fistulae

abdominal repair of vesico-vaginal and ureterohystrectomy/LSCS) was the major cause of VVF, vaginal fistulae. accounting for 66.66 % (18 patients), while in Methodology: This prospective descriptive study remaining 33.33% (9 patients) the obstructed and was conducted in the Departments of Surgery, prolonged labor were the cause. All fistulae Gynecology and Urology, Ghulam Mohammad healed successfully with minor leaking in 2 (7.4%) Mahar Medical College Hospital, Sukkur, Pakistan patients which settled spontaneously. One patient from August 2009 to July 2012. A total 27 patients developed post-operative adhesions (small bowel of vesicovaginal fistulae (VVF) and Ureteroobstruction) and was explored and adhesiolysis Vaginal fistulae were included in the study. All was done. Three (11.11%) patients developed patients had supra-trigonal multiple or single VVF post-operative wound infection and healed by and were repaired by the abdominal approach. dressing. The outcome of the procedure and post-operative Conclusion: Trans abdominal is an excellent complications were recorded. approach for supra-trigonal, vesico-uterine and Results: Thirteen patients had single suprauretero-vaginal types of fistulae. (Rawal Med J trigonal, three had multiple VVF. Three had 2013;38: 169-172). vesico-uterine and four had uretero-vaginal Keyworks:-Vesico-vaginal fistula, abdominal fistulae. All were operated by abdominal approach approach, incontinence.